Folic acid, also known as folate or Vitamin B9, is a member of the B vitamin family and an essential cofactor for enzymes involved in DNA and RNA synthesis. More specifically, folic acid is required by the body for the synthesis of purines, pyrimidines, and methionine before incorporation into DNA or protein. Folic acid is particularly important during phases of rapid cell division, such as infancy, pregnancy, and erythropoiesis, and plays a protective factor in the development of cancer. As humans are unable to synthesize folic acid endogenously, diet and supplementation is necessary to prevent deficiencies. For example, folic acid is present in green vegetables, beans, avocado, and some fruits.[L5744] In order to function within the body, folic acid must first be reduced by the enzyme dihydrofolate reductase (DHFR) into the cofactors dihydrofolate (DHF) and tetrahydrofolate (THF). This important pathway, which is required for de novo synthesis of nucleic acids and amino acids, is disrupted by anti-metabolite therapies such as [DB00563] as they function as DHFR inhibitors to prevent DNA synthesis in rapidly dividing cells, and therefore prevent the formation of DHF and THF. When used in high doses such as for cancer therapy, or in low doses such as for Rheumatoid Arthritis or psoriasis, [DB00563] impedes the body's ability to create folic acid. This results in a deficiency of coenzymes and a resultant buildup of toxic substances that are responsible for numerous adverse side effects. As a result, supplementation with 1-5mg of folic acid is recommended to prevent deficiency and a number of side effects associated with MTX therapy including mouth ulcers and gastrointestinal irritation. [DB00650] (also known as folinic acid) supplementation is typically used for high-dose MTX regimens for the treatment of cancer. Levoleucovorin and leucovorin are analogs of tetrahydrofolate (THF) and are able to bypass DHFR reduction to act as a cellular replacement for the co-factor THF. There are also several antiepileptic drugs (AEDs) that are associated with reduced serum and red blood cell folate, including [DB00564] (CBZ), [DB00252] (PHT), or barbiturates.[A37004] Folic acid is therefore often provided as supplementation to individuals using these medications, particularly to women of child-bearing age. Inadequate folate levels can result in a number of health concerns including cardiovascular disease, megaloblastic anemias, cognitive deficiencies, and neural tube defects (NTDs). Folic acid is typically supplemented during pregnancy to prevent the development of NTDs and in individuals with alcoholism to prevent the development of neurological disorders, for example.
Multivitamins and Multiminerals Formula Regular Tablet
Chewable Multiple Vit Plus Iron for Children
Vitachrom Gc
Cavan X
vitaMedMD Rx Plus
FaBB
Fortamines-10 Comprimes
Vitamin B6 & B12 With Folic Acid
Prenate DHA
DuetDHA Balanced
Revitalize Multi-vitamin and Mineral Complex
Dotremin
RE FAC-x
Formula Gly
P.R.O. Complex
Se-Care Chewable
Vita-B
Vitamin B Compound W C Tab 500mg
Trinatal Rx 1
Pregvit
Stress Complex 600 Avec Vit E Cuivre Zinc
Iron Vitamins B6,b12,c,folic Acid Tab
Chela Potassium Plus
Stress B&c Tab
SetonET-EC
Pnv Ob DHA
Tri-Zel
Animal Shapes w/Iron Chewtabs
Vitafol Nano
Vitramyn
Prenatal Vitamins Plus
Vita Balance 2000
M.V.I. Paediatric
Virt Nate
VP-Vite Rx
Reliv So Sense Daily Vitamin Supplement
Multivitamins and Minerals With Betacarotene Tablets
bioJET
Prenate Chewable
Folika-V
Imubolic
Multivitamin & Multimineral
Prenatal Vitamin and Mineral Supplement Tab
Select-OB Plus DHA Prenatal Supplement Plus DHA
Folinex
Hsn Formula
Men's Biomultiple Vitamin and Mineral Supplement
Centratex
Complete Mega B
Sun-rype Vitaburst
Nitro Vites - Tab
PNV Prenatal Vitamin Plus Vitamin A
Globucel - Methode
Daily Energy Brand B-complex
Niron Komplete
CitraNatal Bloom DHA
Focalgin DSS
Natafolik
Lorid
Folic-K
Moms Choice Rx
WesCap-C-DHA
Multiple Vitamins Plus Iron Tab
Nutra-clear
Fusion Plus
Ultimate Tab
Maximum Once A Day
Nutrilite Double X
Super Kids Chewable Multivitamin Multimineral (chewable Tablets)
Vital Be-100
WesNatal DHA Complete
Nutri-Tab OB
Rogenic
Mnps Formula Supplement
Omega-3 Rx Complete
Classic Swiss One 10 Multivitamin and Mineral Tab
M.V.I.-12
Pre-Tabs DHA Prenatal Multi-vitamin/Mineral Supplement with DHA/EPA
Supravite Stress Avec Vit E
Durachol
Folika-T
healthy mamaBE WELL ROUNDED BE WELL ROUNDED
Multi-force for Women Tab
Nutra Boost
Surbex-500 With Iron
Iron, Vit & Min Supp
Prenavite Forte Tablets
Vitrexate
B-100 Caps
Children's Chewable Multiple Vitamins - Tab
A.R.T.H. Away Formula
Ortho DF
Multi-vitamins
FE C Tab Plus
Complete Natal DHA
Body Rox
Re Ob 90 DHA
Tricon
Ultimate OB DHA
Co-Veratrol
Efferlife Multivitamins and Minerals
Carbassist Tablets
NEONATAL Complete
Vitafol
Fem Time Tab
Pretrate
RE Prenatal Multivitamin with Iron
NataFort
Cedevita Sugar-free Vitamin Supplement
Marnatal F
Homosistrox Capsules
Iron With Vitamins Tab
PROTECT IRON Liquid
Flintstones Multiple Vitamins
PreFol-DHA
Multivitamins and Minerals for Men
Super Multi
Vita-vim With Beta-carotene - Tab
Multivitamins and Minerals for Young Women
Usana Megavitamin Tablets - Tab
Vitafol Plus
Prenatal Vi-min
KeyFolic
PM Caps
TL Gard Rx
Cda-21 Vitamins With Non-medicinal Probiotic Complex
Children's Chewable Multivitamin and Multimineral
Corvita
Tandem DHA
Nexa Select
Formula Ch. Les.
Pediatric Infuvite Multiple Vitamins
Bseltzer
Multivitamin
Vitrexate FE
Harvest Of Values All B Complex Tab
P.N.P. Vitamin Drink
Abavite
Zoo Chews Plus Iron
DermacinRx PureFolix
Falessa
Iron Folate Plus
WestGel DHA
C. Vit-min Formula
Daily Balance Tab
PrimaCare
TriStart DHA
Genicin Vita-D
Vitafol Fe Plus
Ostachol
Maxi 10 Tab
Nephrocaps-QT
Thrivite Rx
Femitab Tab
Pnv-dha
Multi Tabs
Escavite D
Dialyvite Supreme D
Floriva
Fortamines 10 Capsules
Trigels-F Forte
Vitamin B + C Cap
Folica-V
B-complex-50 Tab
VP-HEME One
Balanced B-complex Vit + Vit C&e Tab
Ventrixyl
Folic Acid Tab 5mg
Multivit with Fluoride
natelle COMPLETE
Tricare Prenatal
Nestabs ONE
Chela Iron Plus C,b Complex
Hematogen FA
CitraNatal DHA
Mvc 9 Plus 3 Inj
Roxifol-D
Iron 25mg With Vit B-cmplx, Vit C, Cu & Mo
MaxFe
Gestamine Comprimes
OB Complete Prenatal
Calcium PNV
Florravite
Folite
CitraNatal Assure
FeRivaFA
Q.T. #4 Vitamin and Mineral Dietary Supplement
TL-Select DHA
Virt-Nate
MVC-Fluoride
Flintstones Multiple Vitamins Tab
Folgard
Duet DHA 400 ec
Protect Plus SO 60
NESTABS ABC Prenatal Multi-vitamin/Mineral Supplement with DHA/EPA
Dialyvite 3000
Hemocyte Plus
Vyqua
One Daily VITES
Prena1 Plus
C-B Complex
Master Key Multi Vitamin Multi Mineral Formula 2
Folic Acid 1mg With C 20mg
PreferaOB One
Corvita 150
Multra Plex
Right Choice A.M. Multi Formula - Caplet
Neonatal Plus Vitamin
Super Vita-vim With Beta-carotene - Tab
Vinacal
Vitamin B Compound Tab
Feonyx
Prim - Royal P.M.T.
Zatean-Pn Plus
Prefera OB plus DHA
B6, B12 & Folic Acid Multi-vitamin Tablets
Liqui B Complex
Nicotinamide Zcf
M-Natal Plus
Prenavite Forte
Vitamin B12 Plus Tablets W Folic Acid
VirtPrex
Enrich Core Pack - Children Vitamin and Mineral Supplement
Extra-Virt Plus DHA
Niaacinamide Azelaic AC TURMER FA B6 Zinc Ox Copper
Virt-C DHA
Vitafol One
Complexe B Compose 75
Zoo Chews
Vita-worth B-complex Tablets
BP Vit 3
O-Cal FA multivitamin
Triveen-Duo DHA
Quflora Gummies
Edge OB
Stress Forte Plus Lipotropic Factors
Pnv-VP-U
Cavan Alpha
B-complex With Vitamin C, Biotin, Folic Acid
Complete Multivitamins and Minerals Tablets Timed Release
hormaSAN forte
Azesco
WesTab Mini
Bugs Bunny Chew Multi Vit Plus Iron
Materna-tab
FeRiva FA
Multi Vitamins & Minerals
Vege Swiss One Multivitamin W Chel Mins Tab
Mega Plex III - Pck
Vp-zel
Choice OB DHA
Folic Acid-b12 Tab
One A Day Advance Adults
Complete Multivitamins and Minerals for Children
Virt-Vite
Ferotrin
Reno Caps
Folivane-PRx DHA
Ortho D
Neonatal DHA
FolaMed DHA
Balanced B 125 Srt
Integra F
Citranatal B-calm
Stress Formula Vit B With C Complex
Formula D.S.
Corvite 150
M.V.I. Pediatric
CitraNatal Harmony
Provida OB
Av-VITE FB Forte
Children's Vitamins W Iron Chewable
Vp-ggr-B6
Men's
Multivitamins for Children
Foltrate
Divista
Low Potency B Complex Tab
Lexazin
Stress B-complex Plus Iron With Vitamins C&e
Remedient
Essential B Tablets
Prenaissance Plus
Envirocomplex
Revit Multi-vitamins and Minerals
Niva-Plus
Bugs Bunny and Friends Multiple Vitamins
Florafol Pediatric 0.25 mg/mL Multivitamin and Fluoride Liquid Drops
Complete One A Day Tab
PreGenna
iFerex 150 Forte
Genicin Vita-Q
PR Natal 400 ec
Feminex 300 Tab
Flintstones W Extra C Tab
C-Nate DHA
Advanced AM PM
Multi Vitamin and Mineral vitamin
TriphroCaps
Zatean-Pn
Mega Vitaminerals
Vita Vim Multivitamins and Minerals Tab
Foltamin
Bio-fen
Magnum-75 Vitamin and Mineral Supplement
B-complex 100
Dexatran
Docosavit
Natalvirt 90dha
Ferrex 150 Forte
B-Serene Rx
Taron-prex Prenatal
Natalvirt Ca
Duet DHA 400
Onccor
Formula O.C.
ProFola
Vtb Vitamin and Mineral Supplement
Phytovim Cap
Prenatal
Multra With Iron
Vigo Multivitamins Drops/lozenge
Women's Biomultiple Vitamin and Mineral Supplement
One A Day Tab
Ferrex 150 Forte Plus
Chewable Multiple Vitamins for Children
Vitafol Caplet
Niferex
Prenatal Vitamin No 53 Iron Fum Folic Acid Docusate CA DHA
Dayavite
WesCaps
Multi-12/k1 Pediatric
B6, B12 & Folic Acid
Supravite Stress Avec Vit E Et Fer
Xybiotic Probiotic Support
Multi 12 Injection
RediChew
Prenatal Vitamins Plus Low Iron
Swiss One Timed Release Tab
Pregnancy Multivitamin Folic 5
Tl-hem 150
Dothelle DHA
Tozal
Hill.vite
FeRiva
Virt-Vite Plus
Indication
Folic acid is indicated for the treatment of folic acid deficiency, megaloblastic anemia, and in anemias of nutritional origins, pregnancy, infancy, or childhood.
Drug Info/Drug Targets: DrugBank 3.0: a comprehensive resource for 'omics' research on drugs. Knox C, Law V, Jewison
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Nucleic Acids Res. 2011 Jan; 39 (Database issue):D1035-41. | PMID:21059682